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矿工伤后重返工作岗位的预测因素:一项范围综述。

Predictors of return to work among mine workers following on-duty injury: A scoping review.

作者信息

Botha Wilinda, Magida Nontembiso, Mudzi Witness, Bello Bashir

机构信息

Department of Physiotherapy, School of Health Care Sciences, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.

Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

出版信息

S Afr J Physiother. 2025 Jun 30;81(1):2165. doi: 10.4102/sajp.v81i1.2165. eCollection 2025.

Abstract

BACKGROUND

Mining industry workers face substantial challenges returning to work after occupational injuries. Despite the critical importance of successful return to work (RTW) outcomes, there is limited understanding of specific predictors within the mining sector that influence these outcomes.

OBJECTIVES

To systematically identify and analyse factors influencing RTW among mine workers following on-duty injuries and synthesise evidence to inform rehabilitation strategies.

METHOD

We searched PubMed, CINAHL, Google Scholar and PsycINFO databases for literature published between 1996 and December 2024. Studies were screened using predetermined inclusion and exclusion criteria. Data from eligible studies were extracted and analysed thematically to identify key predictors of RTW outcomes.

RESULTS

Three studies met the inclusion criteria. Negative RTW predictors (barriers) included physical complications (muscular atrophy, chronic pain), psychological factors (work avoidance, secondary gains) and workplace challenges (harsh conditions, job stress). Positive predictors (facilitators) encompassed supportive work environments, shorter rehabilitation periods, and financial stability. Demographic characteristics, particularly younger age and higher education levels, were associated with improved RTW outcomes.

CONCLUSION

Return to work success among mine workers is influenced by multiple interconnected factors spanning physical, psychological, workplace and demographic domains.

CLINICAL IMPLICATIONS

These findings emphasise the need for comprehensive rehabilitation programmes integrating medical care, psychological support and workplace modifications. Future research should focus on developing targeted interventions that address these multiple dimensions of RTW in the mining sector.

摘要

背景

采矿业工人在职业受伤后重返工作岗位面临重大挑战。尽管成功重返工作岗位(RTW)的结果至关重要,但对于采矿业中影响这些结果的具体预测因素了解有限。

目的

系统识别和分析在职受伤矿工重返工作岗位的影响因素,并综合证据为康复策略提供参考。

方法

我们在PubMed、CINAHL、谷歌学术和PsycINFO数据库中搜索了1996年至2024年12月发表的文献。使用预先确定的纳入和排除标准筛选研究。从符合条件的研究中提取数据并进行主题分析,以确定重返工作岗位结果的关键预测因素。

结果

三项研究符合纳入标准。负面的重返工作岗位预测因素(障碍)包括身体并发症(肌肉萎缩、慢性疼痛)、心理因素(工作回避、继发获益)和工作场所挑战(恶劣条件、工作压力)。正面预测因素(促进因素)包括支持性的工作环境、较短的康复期和经济稳定。人口统计学特征,特别是较年轻的年龄和较高的教育水平,与更好的重返工作岗位结果相关。

结论

矿工重返工作岗位的成功受到身体、心理、工作场所和人口统计学等多个相互关联因素的影响。

临床意义

这些发现强调了需要综合医疗护理、心理支持和工作场所调整的全面康复计划。未来的研究应侧重于开发针对性的干预措施,以解决采矿业重返工作岗位的这些多方面问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9661/12223987/2d9a9214004f/SAJP-81-2165-g001.jpg

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